Case 3 Endocrinology Part 2

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A. Expanded Database - Diagnostic Test Results

1 Test / Procedure: Fecal Protease Activity
Results:

Normal

Review indications & protocol in notes.

What is your assessment?

2 Test / Procedure: Fecal Flotation
Results:

Negative

Review indications & protocol in notes.

What is your assessment?

3 Test / Procedure: ECG
Results:

HR: 220; R waves in lead II are greater than 0.9 mv

Review indications & protocol in notes.

What is your assessment?

4 Test / Procedure: Thoracic Radiographs
Results:

The left ventricle is mildly enlarged. Lung fields are negative and pulmonary vessels appear normal.

Review indications & protocol in notes.

What is your assessment?

5 Test / Procedure: Echocardiogram
Results:

The left ventricular wall is mildly thickened. Fractional shortening time is mildly increased.

Review indications & protocol in notes.

What is your assessment?

6 Test / Procedure: Total T4
Results:

50.0 ng/ml (normal 5.0-25 ng/ml)

Review indications & protocol in notes.

What is your assessment?

7 Test / Procedure: Occult Heartworm Test
Results:

Negative

Review indications & protocol in notes.

What is your assessment?

B. Final Diagnosis

C. Therapeutic Plan

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